Philemon T Marvell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41799 Issued in MA

Practice address

2 Wake Robin Rd
Suite 208
Lincoln, RI 02865-4295

Phone

(401) 475-7650

Fax

(401) 475-7655

NPI assigned

Nov 1, 2006

Last updated

Jan 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ocean Medical Practice, Inc.

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1043401979
  NPD (past)
• Dartmouth Medical Walk in PC III

  • Family Medicine Physician
  • North Dartmouth, MA
  • NPI 1841268265
  NPD (past)
• Dartmouth Medical Walk-in PC II

  dba Family Med Center

  • General Practice Physician
  • Fairhaven, MA
  • NPI 1184675779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1811074909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 W MAIN RD",
            "city": "LITTLE COMPTON",
            "state": "RI",
            "postal_code": "028371123",
            "telephone_number": "401-592-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "address_2": "SUITE 208",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654295",
            "telephone_number": "401-475-7650",
            "fax_number": "401-475-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVELL",
        "first_name": "PHILEMON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "41799",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD05394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Marlin, PA-C
• Kerri Lee Martel, FNP
• Patricia Ryan Martin
• Ashley Martinez
• Jasmine L Martinez, BCBA, LBA
• Joyce Masse, LICSW
• Russel John Masse, MASSAGE THERAPIST
• Meriem Matmati
• Enmanuel Matos, LMHC
• Joseph P Mazza, MD

• Family Medicine Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.